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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H1862-004 Cross-check on Medicare.gov →

Wellcare Dual Access (HMO-POS D-SNP)

Plan Year 2026
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
948 Drugs Covered
1 States Served

Top Covered Drugs

Most popular medications covered by this plan, ordered by national search frequency. Click any drug to see exact copay, restrictions, and alternatives.

# Drug Name Type Tier 30-Day Copay
1 Exemestane Brand Tier 4 $100.00 Details
2 Enoxaparin Sodium Enoxaparin sodium Brand Tier 4 $100.00 Details
3 Loxapine Brand Tier 4 $100.00 Details
4 ELIQUIS 30-Day Starter Pack 30-Day Starter Pack apixaban Brand Tier 3 0.3% coinsurance Details
5 Ampicillin Brand Tier 2 $19.00 Details
6 Diazepam Brand Tier 4 $100.00 Details
7 Warfarin Sodium Brand Tier 1 $18.00 Details
8 Potassium Chloride potassium chloride Brand Tier 2 $19.00 Details
9 Augtyro repotrectinib Brand Tier 5 0.3% coinsurance Details
10 Ibrance palbociclib Brand Tier 5 0.3% coinsurance Details
11 Amoxapine Brand Tier 4 $100.00 Details
12 ISENTRESS RALTEGRAVIR Brand Tier 3 0.3% coinsurance Details
13 Diltiazem Hydrochloride Brand Tier 2 $19.00 Details
14 PREVYMIS LETERMOVIR Brand Tier 5 0.3% coinsurance Details
15 Chlorpromazine Hydrochloride Brand Tier 4 $100.00 Details
16 Nefazodone Hydrochloride Brand Tier 4 $100.00 Details
17 Buspirone Hydrochloride Brand Tier 2 $19.00 Details
18 KOSELUGO SELUMETINIB Brand Tier 5 0.3% coinsurance Details
19 ENTRESTO Sacubitril and Valsartan Brand Tier 3 0.3% coinsurance Details
20 Tacrolimus Brand Tier 4 $100.00 Details

Showing 20 of 948 covered drugs.

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States Served (1)

This plan is available to Medicare beneficiaries in the following states.

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